Hearing impaired individuals tend to have a heightened chance of substance abuse issues because of their impairment, and rehab services must be available to them which cater to their needs. Individuals who are hearing impaired can feel alone, lack motivation, and be without goals due to their impairment. Many hearing impaired individuals then choose to self medicate with alcohol or drugs to numb this pain and experience a temporary release from the psychological and emotional challenges that accompany having this handicap in everyday life. Firstly, detecting a drug and alcohol abuse problem among the hearing impaired can be a challenge, since these individuals may attempt to hide their issue as a result of social stigmas that come with substance abuse. Having said that, drug and alcohol treatment counselors who offer treatment to hearing impaired individuals understand the challenges these clients face. ASL treatment services are definitely a must, as are rehabilitation services which address the particular challenges that hearing impaired individuals encounter. Group therapy offers a venue for important peer support in order that rehabilitation clients can know they are not on their own, and that there's hope to resolve their challenge with drugs and alcohol. Individual therapy services may be more tailor-made for each person to ensure their own personal problems can be treated in rehabilitation.